Comunicação como instrumento do cuidar de pacientes com ferida crônica: discurso de enfermeiros.

Abstract

Communication is an act of exchange of ideas, knowledge and experienced situations that may or may not be developed in relations between the people and that is essential in the relationship between the nurse and the patient. In this perspective, it is extremely important to focus on the need for nursing communication in the treatment of patients with chronic wounds, given that many of them spend years living with such a situation and it brings often stress, depression, lack of motivation and fear. OBJECTIVE: investigate how communication is used by nurses as an instrument of care for people with chronic wound. METHODOLOGY: This is a survey of exploratory-descriptive, with a qualitative approach. The survey was conducted in the Family Health Strategies in the cities of Cuité and New Forest, both located in Paraíba. The sample consisted of a total of ten nurses. For data collection, recorded interviews were conducted using a semi-structured data collection instrument, consisting of subjective questions. Data from the interviews were analyzed by Bardin content analysis in the light of the relevant literature to investigate how communication is used by nurses in treating people with chronic wound. The study was approved by the Research Ethics Committee, under protocol 1638225. RESULTS: The time of training of nurses ranged from one year and two months to 31 years; the time of work in primary care was between seven months and thirty years and the time of work in the current unit ranged from seven months to ten years. Considering the speeches of nurses, it was possible to abstract what the professionals know about communication and how is their use with patients during the treatment of chronic wounds. Therefore, the analysis of discourse, emerged 10 categories to summarize the answers: communication is a listening tool and information exchange that occurs through dialogue; communication is verbal and non-verbal interaction; communication is important in creating links; communication is important to identify the patient's needs; communication promotes continuity of care; communication as a guide for patients, families and caregivers; communication as a tool for lifelong learning among staff; communication as a means of improving the quality of life; address the issue is to a reflection of professional practice, communication is an important issue, but rarely addressed. CONCLUSION: The use of communication in the treatment of patients with chronic wounds is an indispensable aid in the conduct of nurses, however, knowledge of the professional on the subject is flawed, requiring the extension of studies that provide discussions and awaken the nurses reflection and, if necessary, changes in health care to these patients.